An Alternative Model of Care for the Treatment of Adolescent Athletes with Extension-Based Low Back Pain: A Pilot Study.

Abstract

Background and Purpose Background and PurposeHalf of adolescent athletes report low back pain (LBP) and there is a significant risk of vertebral injury in this population. The current model of care for adolescent athletes with LBP is to first confirm a medical diagnosis of spondylolysis which frequently requires advanced imaging. However, routine use of advanced imaging increases cost, delays treatment, and can expose the athlete to radiation.

Rehabilitation of back pain in the pediatric population: a mixed studies systematic review

“…1 ). Of these 11 studies, the effectiveness of rehabilitation interventions were investigated in 10 quantitative studies including eight RCTs (518 participants) [ 22 , 32 – 39 ] and two non-randomized clinical trials (40 participants) [ 40 , 41 ] (Table 5 ), and one qualitative study investigated patients’ experience of physiotherapy (14 Participants) [ 42 ] (Table 6 ). We did not identify studies on cost-effectiveness of rehabilitation interventions.…”

“…The mean age of participants ranged from 12.3 to 18 years old. Among participants in the eight studies reporting sex, 50.4% ( n = 261) were female [ 22 , 32 – 34 , 37 , 38 , 40 , 41 ]. All studies included participants with nonspecific LBP, with no studies focusing on TSP.…”

“…All studies included participants with nonspecific LBP, with no studies focusing on TSP. Participants received various rehabilitation interventions including exercise (4 studies) [ 34 – 36 , 39 , 40 ], spinal manipulation (2 studies) [ 22 , 33 ], cognitive therapy (1 study) [ 38 ], whole-body vibration (1 study) [ 37 ], and multimodal care (2 studies) [ 32 , 41 ]. The duration of rehabilitation interventions varied: 1) four weeks (1 study) [ 22 ]; 2) eight weeks (4 studies) [ 34 – 36 , 38 , 40 ]; and 3) 12 weeks (4 studies) [ 32 , 33 , 37 , 39 ]; and 4) variable duration (1 study) [ 41 ].…”

“…Participants received various rehabilitation interventions including exercise (4 studies) [ 34 – 36 , 39 , 40 ], spinal manipulation (2 studies) [ 22 , 33 ], cognitive therapy (1 study) [ 38 ], whole-body vibration (1 study) [ 37 ], and multimodal care (2 studies) [ 32 , 41 ]. The duration of rehabilitation interventions varied: 1) four weeks (1 study) [ 22 ]; 2) eight weeks (4 studies) [ 34 – 36 , 38 , 40 ]; and 3) 12 weeks (4 studies) [ 32 , 33 , 37 , 39 ]; and 4) variable duration (1 study) [ 41 ]. These 10 studies investigated rehabilitation interventions: 1) as an addition to active comparison interventions where the attributable effect of the comparison interventions can be isolated (4 studies) [ 32 , 33 , 37 , 39 ]; 2) compared to no treatment (3 studies) [ 34 – 36 , 38 ]; 3) compared to sham (1 study) [ 22 ]; and 4) compared to other active interventions (2 studies) [ 40 , 41 ], respectively.…”

Another neglected symptom among the overweight young: an analysis of the self-reported anterior knee pain scores of the secondary school children

“…In a study researching the associations among BMI, BMI z-scores, and relative body fat percentage in the development of AKP in an adolescent female athlete population, no relationship between BMI and AKP was found (26). Similarly, Selhorst et al noted no meaningful change in NRS at the end of a six-week AKP syndrome treatment where the AKPS showed significance (27).…”